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New Jersey rates for HCPCS 90634

Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.75 / $30.75 / $30.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $30.75 / $30.75
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.20 / $510.20 / $510.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.89 / $23.41 / $38.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.47 / $28.47 / $28.47
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.61 / $70.61 / $70.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $24.28 / $27.74